Information Collection

Cancer Patients In A Case-control Study Of Pancreatic Cancer Among Blacks And Whites - Questionnaire For Next Of Kin

IC 111641 under ICR 198806-0925-002 · OMB 0925-0326.

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IC Title:

CANCER PATIENTS IN A CASE-CONTROL STUDY OF PANCREATIC CANCER AMONG BLACKS AND WHITES - QUESTIONNAIRE FOR NEXT OF KIN

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 230

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.